QUALITY INDICATORS FOR PALLIATIVE DAY SERVICES: A MODIFIED DELPHI STUDY

Noleen McCorry, Sean O'Connor, Kathleen Leemans, Joanna Coast, Michael Donnelly, Anne Finucane, Louise Jones, W.George Kernohan, Paul Perkins, Martin Dempster

Research output: Contribution to journalArticle

Abstract

Background: The goal of Palliative Day Services is to provide holistic care
that contributes to the quality of life of people with life threatening-illness
and their families. Quality indicators provide a means by which to describe,
monitor and evaluate the quality of Palliative Day Services provision, and
act as a starting point for quality improvement. However, currently, there
are no published quality indicators for Palliative Day Services.
Aim: To develop and provide the first set of quality indicators that describe
and evaluate the quality of Palliative Day Services.
Design and setting: A modified Delphi technique was used to combine best
available research evidence derived from a systematic scoping review with
multi-disciplinary expert appraisal of the appropriateness and feasibility of
candidate indicators. The resulting indicators were compiled into ‘toolkit’,
and tested in five UK Palliative Day Service settings.
Results: A panel of experts independently reviewed evidence summaries for 182 candidate indicators and provided ratings on appropriateness,
followed by a panel discussion and further independent ratings of
appropriateness, feasibility, and necessity. This exercise resulted in the
identification of 30 indicators which were used in practice testing. The final
indicator set comprised 7 structural indicators, 21 process indicators, and 2
outcome indicators.
Conclusions: The indicators fulfill a previously unmet need among Palliative
Day Service providers by delivering an appropriate and feasible means to
assess, review, and communicate the quality of care, and to identify areas
for quality improvement.
LanguageEnglish
JournalPalliative Medicine
Publication statusAccepted/In press - 7 Oct 2018

Fingerprint

Delphi Technique
Quality Improvement
Quality of Health Care
Quality of Life
Research

Keywords

  • Quality Indicators
  • Delphi technique
  • Day services
  • Quality Improvement
  • Palliative care

Cite this

McCorry, N., O'Connor, S., Leemans, K., Coast, J., Donnelly, M., Finucane, A., ... Dempster, M. (Accepted/In press). QUALITY INDICATORS FOR PALLIATIVE DAY SERVICES: A MODIFIED DELPHI STUDY. Palliative Medicine.
McCorry, Noleen ; O'Connor, Sean ; Leemans, Kathleen ; Coast, Joanna ; Donnelly, Michael ; Finucane, Anne ; Jones, Louise ; Kernohan, W.George ; Perkins, Paul ; Dempster, Martin. / QUALITY INDICATORS FOR PALLIATIVE DAY SERVICES: A MODIFIED DELPHI STUDY. In: Palliative Medicine. 2018.
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abstract = "Background: The goal of Palliative Day Services is to provide holistic carethat contributes to the quality of life of people with life threatening-illnessand their families. Quality indicators provide a means by which to describe,monitor and evaluate the quality of Palliative Day Services provision, andact as a starting point for quality improvement. However, currently, thereare no published quality indicators for Palliative Day Services.Aim: To develop and provide the first set of quality indicators that describeand evaluate the quality of Palliative Day Services.Design and setting: A modified Delphi technique was used to combine bestavailable research evidence derived from a systematic scoping review withmulti-disciplinary expert appraisal of the appropriateness and feasibility ofcandidate indicators. The resulting indicators were compiled into ‘toolkit’,and tested in five UK Palliative Day Service settings.Results: A panel of experts independently reviewed evidence summaries for 182 candidate indicators and provided ratings on appropriateness,followed by a panel discussion and further independent ratings ofappropriateness, feasibility, and necessity. This exercise resulted in theidentification of 30 indicators which were used in practice testing. The finalindicator set comprised 7 structural indicators, 21 process indicators, and 2outcome indicators.Conclusions: The indicators fulfill a previously unmet need among PalliativeDay Service providers by delivering an appropriate and feasible means toassess, review, and communicate the quality of care, and to identify areasfor quality improvement.",
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McCorry, N, O'Connor, S, Leemans, K, Coast, J, Donnelly, M, Finucane, A, Jones, L, Kernohan, WG, Perkins, P & Dempster, M 2018, 'QUALITY INDICATORS FOR PALLIATIVE DAY SERVICES: A MODIFIED DELPHI STUDY', Palliative Medicine.

QUALITY INDICATORS FOR PALLIATIVE DAY SERVICES: A MODIFIED DELPHI STUDY. / McCorry, Noleen; O'Connor, Sean; Leemans, Kathleen ; Coast, Joanna; Donnelly, Michael; Finucane, Anne; Jones, Louise; Kernohan, W.George; Perkins, Paul; Dempster, Martin.

In: Palliative Medicine, 07.10.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - QUALITY INDICATORS FOR PALLIATIVE DAY SERVICES: A MODIFIED DELPHI STUDY

AU - McCorry, Noleen

AU - O'Connor, Sean

AU - Leemans, Kathleen

AU - Coast, Joanna

AU - Donnelly, Michael

AU - Finucane, Anne

AU - Jones, Louise

AU - Kernohan, W.George

AU - Perkins, Paul

AU - Dempster, Martin

PY - 2018/10/7

Y1 - 2018/10/7

N2 - Background: The goal of Palliative Day Services is to provide holistic carethat contributes to the quality of life of people with life threatening-illnessand their families. Quality indicators provide a means by which to describe,monitor and evaluate the quality of Palliative Day Services provision, andact as a starting point for quality improvement. However, currently, thereare no published quality indicators for Palliative Day Services.Aim: To develop and provide the first set of quality indicators that describeand evaluate the quality of Palliative Day Services.Design and setting: A modified Delphi technique was used to combine bestavailable research evidence derived from a systematic scoping review withmulti-disciplinary expert appraisal of the appropriateness and feasibility ofcandidate indicators. The resulting indicators were compiled into ‘toolkit’,and tested in five UK Palliative Day Service settings.Results: A panel of experts independently reviewed evidence summaries for 182 candidate indicators and provided ratings on appropriateness,followed by a panel discussion and further independent ratings ofappropriateness, feasibility, and necessity. This exercise resulted in theidentification of 30 indicators which were used in practice testing. The finalindicator set comprised 7 structural indicators, 21 process indicators, and 2outcome indicators.Conclusions: The indicators fulfill a previously unmet need among PalliativeDay Service providers by delivering an appropriate and feasible means toassess, review, and communicate the quality of care, and to identify areasfor quality improvement.

AB - Background: The goal of Palliative Day Services is to provide holistic carethat contributes to the quality of life of people with life threatening-illnessand their families. Quality indicators provide a means by which to describe,monitor and evaluate the quality of Palliative Day Services provision, andact as a starting point for quality improvement. However, currently, thereare no published quality indicators for Palliative Day Services.Aim: To develop and provide the first set of quality indicators that describeand evaluate the quality of Palliative Day Services.Design and setting: A modified Delphi technique was used to combine bestavailable research evidence derived from a systematic scoping review withmulti-disciplinary expert appraisal of the appropriateness and feasibility ofcandidate indicators. The resulting indicators were compiled into ‘toolkit’,and tested in five UK Palliative Day Service settings.Results: A panel of experts independently reviewed evidence summaries for 182 candidate indicators and provided ratings on appropriateness,followed by a panel discussion and further independent ratings ofappropriateness, feasibility, and necessity. This exercise resulted in theidentification of 30 indicators which were used in practice testing. The finalindicator set comprised 7 structural indicators, 21 process indicators, and 2outcome indicators.Conclusions: The indicators fulfill a previously unmet need among PalliativeDay Service providers by delivering an appropriate and feasible means toassess, review, and communicate the quality of care, and to identify areasfor quality improvement.

KW - Quality Indicators

KW - Delphi technique

KW - Day services

KW - Quality Improvement

KW - Palliative care

M3 - Article

JO - Palliative Medicine

T2 - Palliative Medicine

JF - Palliative Medicine

SN - 0269-2163

ER -

McCorry N, O'Connor S, Leemans K, Coast J, Donnelly M, Finucane A et al. QUALITY INDICATORS FOR PALLIATIVE DAY SERVICES: A MODIFIED DELPHI STUDY. Palliative Medicine. 2018 Oct 7.